Mr. DeVita is a 42-year-old male who has been in an accident in which he received severe burns.
Mr. DeVita is a 42-year-old male who has been in an accident in which he received severe burns.
As a result, he is in severe metabolic stress. Mr. DeVita weighed 186 pounds before the accident. Calculate his protein requirements. Based on the information you have, what are Mr. DeVita’s fluid requirements? What are some additional nutritional concerns that you as his nurse, would have with a burn patient? Is nutrition even a real consideration at this point in his care? Why or why not? 2. Katie Burch, a patient with type 1diabetes, reports that she has been experiencing symptoms of hypoglycemia. She wears an insulin pump. However, when she monitors her glucose levels, they are within normal limits. How can you help her understand what could be happening metabolically and physiologically? On further assessment, you find that Katie also has difficulties with dietary compliance. Using your assessment skills, try to identify the obstacles and ways to assist in finding solutions to the problem. 3. Alan is a 58-year-old patient who has the following risk factors for cardiovascular disease: primary hypertension (treated with medication), cigarette smoking, inactive lifestyle, and occasionally eating foods high in sodium. Both of his parents died at young ages due to what Alan calls heart troubles, and his brother has high cholesterol. As his nurse, you know that risk factors for cardiovascular disease are fixed or modifiable.
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